💉 Hydrocortisone Powder for Injection 200 mg
📘 Description:
Hydrocortisone sodium succinate 200 mg is a glucocorticoid steroid used for emergency and acute care in conditions involving severe inflammation, adrenal insufficiency, shock, or allergic reactions. It is provided as a lyophilized powder in a sterile vial for IV or IM use after reconstitution.
- Form: Sterile powder for injection
- Strength: 200 mg/vial
- Type: Short-acting corticosteroid
- ATC Code: H02AB09
- Common Brands: Solu-Cortef®, Cortisol®, etc.
🩺 Prescription / Medical Uses:
| Indications | Role |
|---|---|
| Adrenal crisis / Addison’s disease | Cortisol replacement |
| Septic shock | Reduces inflammatory response and vasopressor need |
| Severe allergic reaction / anaphylaxis | Adjunctive therapy |
| Severe asthma / COPD exacerbation | Reduces airway inflammation |
| Autoimmune conditions (e.g., lupus, RA) | Acute flare management |
| Cerebral edema | Sometimes used to reduce intracranial pressure |
| Pre/post-surgical steroid coverage | In steroid-dependent or adrenal-insufficient patients |
✅ Advantages:
- Fast-acting, especially when given IV
- High-dose vials like 200 mg useful in critical emergencies
- Flexible dosing depending on condition severity
- Broad anti-inflammatory and immunosuppressive actions
- Treats both acute and chronic endocrine or immune-related conditions
⚠️ Precautions:
- Avoid abrupt discontinuation after prolonged use
- Use cautiously in:
- Diabetes mellitus
- Hypertension
- Peptic ulcers
- Heart failure
- Active infections (e.g., TB)
- Monitor for:
- Adrenal suppression
- Electrolyte imbalance
- Hyperglycemia
- Psychiatric effects
📦 Storage:
- Store dry powder below 25°C (77°F)
- Keep away from moisture/light
- Use reconstituted solution immediately, unless preservatives allow storage (check label)
🧠 Patient Information:
- Used under direct medical supervision
- Inform doctor of:
- Recent infections or surgeries
- Ongoing chronic steroid therapy
- Wear medical alert ID if long-term steroid use
- May affect blood sugar, BP, and immunity – monitor accordingly